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Organization
WOLF RIVER DENTAL PLLC
Active
Organization
WOLF RIVER DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA LIGHTFOOT (DIRECTOR OF PAYER RELATIONS)
(214) 702-0708
Entity
Organization
Contact information
Practice address
280 GERMAN OAK DR, CORDOVA, TN 38018-7220
(901) 753-9005
Mailing address
15660 DALLAS PKWY STE 950, DALLAS, TX 75248-3309
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
Other
Enumeration date
10/02/2026
Last updated
10/02/2026
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